新招聘的高级实践提供者的结构化专业教育入学课程:现行实践的范围审查
1Dr. Marcucci: Adjunct Faculty Member, Middle Tennessee State University, Physician Assistant Program, Murfreesboro, TN, and Adjunct Faculty Member, South College, Physician Assistant Program, Nashville, TN, and Adjunct Faculty Member, Lincoln Memorial University, Physician Assistant Program, Harrogate, TN, and Member, Advocacy Committee Co-Chair, Association of Physician Assistants in Oncology, Altamonte Springs, FL, and Member, American Academy of Physician Associates, Alexandria, VA.
针对高级实践提供者的结构化实践计划 (APP) 加强了专业实践的整合. 关键策略包括临床指导和教育模块,提高提供者的能力和保留能力.
科学领域:
- 医疗保健教育
- 提供高级实践培训
- 专业实践整合
背景情况:
- 高级实践提供者 (APP),包括医生助理和执业护士,需要有结构的入学成功的专业实践过渡.
- 有效的实习增强了基于证据的知识,临床技能和核心能力,这对于改善提供者绩效和医疗保健质量至关重要.
研究的目的:
- 系统地绘制有关APP专业化实践的现有文献.
- 确定目前APP专业招生研究和实践中的知识缺口.
主要方法:
- 在Medline,CINAHL和SCOPUS数据库中进行了全面的系统文献搜索.
- 该审查遵循了乔安娜·布里格斯研究所的方法和PRISMA扩展范围审查指南.
- 数据提取和管理由Zotero和Covidence提供,使用Joanna Briggs模板.
主要成果:
- 审查的研究主要来自学术医疗中心,涵盖住院和门诊机构.
- 最常见的入学策略包括临床指导和教育模块,并补充了影子和技能课程.
- 绩效审查和能力检查清单是评估入职有效性的主要方法.
结论:
- 通过结合临床指导,结构化跟踪和针对特定需求的多模式培训,优化了专业重点的APP入门.
- 这些计划有助于改善整合,工作满意度和临床能力,同时还减少了APP的营业额.
- 进一步的研究对于完善招生方法和优化APP向专业医疗保健角色的转变至关重要.
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